Forms
This site includes forms designed by the Pennsylvania Department of Education to ensure that students with disabilities receive a free, appropriate, public education. Forms are available for the Infant-Toddler/Early Intervention, Preschool/Early Intervention, and School-age programs, and include both annotated and non-annotated versions. Forms are available as Word and pdf documents.
Bureau of Special Education Complaint Form
Access the State Complaint Form and State Complaint Resolution Procedures on PDE’s Special Education Dispute Resolution page. This webpage also contains the State Complaint Form translated into other languages.
If you need more information about the complaint process or if you are unable to print the packet and would like to receive a complaint form by mail, please contact the Special Educaton ConsultLine at 1-800-879-2301, ConsultLine@odr-pa.org or submit an online request.
IEP in Braille
Download the Nemeth format ⏷
Download the UEB format ⏷
Effective Date:5/4/2018 2:17:07 PM
This is the Spanish version of the standard release form used to obtain permission to share information with community agencies who are currently involved with local Early Intervention programs.
Age:Preschool,Infant/Toddler
Language:Spanish
Effective Date:5/18/2020 1:46:13 PM
This is the Spanish version of the standard release form that will allow Early Intervention and the Department of Health to exchange information with a family of a child who is deaf or hard of hearing.
Age:Infant/Toddler
Language:Spanish
Effective Date:5/20/2020 2:29:16 PM
A standard release form that will allow Early Intervention and the Department of Health to exchange information with a family of a child who is deaf or hard of hearing.
Age:Infant/Toddler
Language:English
Effective Date:7/1/2025 12:52:27 PM
The Early Intervention Complaint Form for Infant Toddler and Preschool is a form that parents can complete to request a formal complaint through the Bureau of Early Intervention Services.
Age:Infant/Toddler,Preschool
Language:English
Effective Date:7/1/2025 12:00:00 AM
The Early Intervention Complaint Form for Infant Toddler and Preschool is a form that parents can complete to request a formal complaint through the Bureau of Early Intervention Services.
Age:Infant/Toddler,Preschool
Language:Arabic
Effective Date:7/1/2025 12:00:00 AM
The Early Intervention Complaint Form for Infant Toddler and Preschool is a form that parents can complete to request a formal complaint through the Bureau of Early Intervention Services.
Age:Infant/Toddler,Preschool
Language:Chinese
Effective Date:7/1/2025 12:00:00 AM
The Early Intervention Complaint Form for Infant Toddler and Preschool is a form that parents can complete to request a formal complaint through the Bureau of Early Intervention Services.
Age:Preschool,Infant/Toddler
Language:Farsi
Effective Date:7/1/2025 12:00:00 AM
The Early Intervention Complaint Form for Infant Toddler and Preschool is a form that parents can complete to request a formal complaint through the Bureau of Early Intervention Services.
Age:Infant/Toddler,Preschool
Language:French
Effective Date:7/1/2025 12:00:00 AM
The Early Intervention Complaint Form for Infant Toddler and Preschool is a form that parents can complete to request a formal complaint through the Bureau of Early Intervention Services.
Age:Infant/Toddler,Preschool
Language:Haitian Creole
Effective Date:7/1/2025 12:00:00 AM
The Early Intervention Complaint Form for Infant Toddler and Preschool is a form that parents can complete to request a formal complaint through the Bureau of Early Intervention Services.
Age:Infant/Toddler,Preschool
Language:Nepali